KEANAN HENDERSON (NPI# 1114372554) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114372554 |
| Entity Type | Individual |
| Full Name | KEANAN HENDERSON |
| Practice Address |
2244 Hanson Ave Norfolk VA 23504-2606 |
| Practice Telephone | 7573244232 |
| Enumeration Date | 2016-05-03 |
| Last Update Date | 2016-05-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 333600000X | Pharmacy | Suppliers |
| Street Address |
2244 HANSON AVE |
| City | NORFOLK |
| State | VA |
| Zip Code | 23504-2606 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932766391 | Naketa Hayes | Nurse's Aide | 958 Saint Julian Ave, Norfolk, VA 23504 | 2019-05-21 |
| 1114581931 | Kathleen S Thomas | Specialist/Technologist | 700 Park Avenue Brc-110, Norfolk, VA 23504 | 2019-04-26 |
| 1770008831 | Michelle Denise Dunn | Home Health | 1015 Saint Julian Ave, Norfolk, VA 23504 | 2017-08-10 |
| 1235654294 | International Home Health Care | Home Health | 1015 Saint Julian Ave., Norfolk, VA 23504 | 2017-08-10 |
| 1528513835 | The Healthy Living Center Foundation C/o Primary Care Specialists, Inc | Preferred Provider Organization | 930 Majestic Avenue, Suite 110, Norfolk, VA 23504 | 2016-08-17 |
| 1619355922 | Healing Hands Massages | Health Maintenance Organization | 2581 Westminster Ave, Norfolk, VA 23504 | 2015-05-07 |
| 1790037554 | Briggs Home Health Agency | Home Health | 1751 Church St Suite A, Norfolk, VA 23504 | 2012-10-03 |
| 1336318179 | Freeman House, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2909 E Virginia Beach Blvd, Norfolk, VA 23504 | 2008-02-26 |
| 1720146087 | Norfolk Eye Physicians & Surgeons Ltd. | Ophthalmology | 1005 May Avenue, Norfolk, VA 23504 | 2006-12-05 |
| 1659441814 | Norfolk Community Health Center Inc | Family Medicine | 1401 Tidewater Drive, Ste 1, Norfolk, VA 23504 | 2006-11-08 |
| Find all providers in zip 23504 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750820056 | Virginia Oncology Associates | Pharmacy | 5900 Lake Wright Dr Ste 200, Norfolk, VA 23502-1871 | 2017-02-20 |
| 1942666532 | Bayview Community Pharmacy LLC | Pharmacy | 1846 E Little Creek Rd, Norfolk, VA 23518-4204 | 2016-01-12 |
| 1932565793 | Bayview Discount Pharmacy | Pharmacy | 710 E Little Creek Rd, Norfolk, VA 23518-3710 | 2016-01-11 |
| 1275831901 | Meds & More Inc | Pharmacy | 1226 W Pasewalk Ave, Norfolk, NE 68701-4944 | 2011-03-04 |
| 1174616387 | Ghent Pharmacy Inc | Pharmacy | 957 C West 21st St, Norfolk, VA 23517 | 2006-10-02 |
| 1619982212 | Colley Discount Pharmacy Inc | Pharmacy | 1415 Colley Ave, Norfolk, VA 23517-1705 | 2006-07-30 |
| 1487690970 | Bass & Lawrence Corporation | Pharmacy | 261 Granby St, Norfolk, VA 23510-1813 | 2006-06-21 |
| 1932676129 | Vrx3 LLC | Pharmacy | 601 Childrens Ln, Norfolk, VA 23507-1910 | 2018-10-26 |
| 1730264714 | Vin Inc. | Pharmacy | 2600 W Norfolk Ave, Norfolk, NE 68701-4460 | 2006-10-26 |
| 1215049218 | U-save Pharmacy Norfolk Inc | Pharmacy | 1001 W Benjamin Ave, Norfolk, NE 68701-2804 | 2006-08-31 |
| Find all providers in NORFOLK | ||||
Please comment or provide details below to improve the information on KEANAN HENDERSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.